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Certificate of Veterinary Inspection · issued 2025-04-09

35-265227

RIDGLAN FARMS, INC. → NORTHWESTERN UNIVERSITY CENTER FOR COM. MED · 4 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

Northwestern University Center for Comparative Medicine

302 EAST HURON CHICAGO, IL 60611

State
IL
Shipped
2025-04-09
Inspected
2025-04-09
Issued
2025-04-09
Purpose
—
Species
Dog (Beagle)

Carrier

Not stated on the certificate.

Issuing Veterinarian

Richard J. Van Domelen, D.V.M.

P.O. BOX 318 MT. HOREB, WI 53572

Phone
608-437-8670
State license
404991
USDA accreditation
033491

Health declarations

Rabies
Vaccinated 03/25/2025; expires 03/25/2026; Nobivac 1-Rabies
Other declarations
Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and test results are as indicated on this certificate.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 1-Rabies7463882025-03-252026-03-25all
Canine 1-DAPPvNobivac / Nobivac2025-03-25all

Remarks / additional certifications

Owner/Agent: Pamela G. Burke. Permit Number: IPCIPQSV. Not returning to WI. Number of animals in shipment: 4. Shipping date: 4/9/2025.

Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and test results are as indicated on this certificate.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (4)

IDBreedSexAge / DOBColorMicrochip / tattooOther
KBQ-3BeagleFADULTADULT
LBQ-3BeagleFADULTADULT
LSQ-3BeagleFADULTADULT
OXQ-3BeagleFADULTADULT

The CVI form lists each dog individually. Per-animal vaccination and treatment history is on the source PDF.

Primary source

This certificate was published by Wisconsin DATCP and is hosted on cvicentral.com. Click through to see the original PDF with all vaccination dates, treatment records, and any handwritten notes.

Open CVI 35-265227 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1836 · cost $0.0377
Overall confidence0.88 · cross-tier agreement 1.00
Model notesRows 2-4 (LBQ-3, LSQ-3, OXQ-3) inherit Sex (F) and Age (ADULT) from row 1 (KBQ-3) via vertical ditto lines. Row 4 (OXQ-3) has checkmark terminations on the ditto lines confirming inheritance. Vaccination details (Nobivac 1-Rabies and Canine 1-DAPPv) are explicitly listed only in row 1 but the ditto lines indicate they apply to all animals. The Canine 1-DAPPv entry shows 'Nobivac' as the vaccine producer in the last column of row 1; the ditto line extends to row 4. Serial number 746388 and Rabies Tag N/A are from row 1 with ditto marks extending down. Owner mailing address is P.O. Box 318 Mt. Horeb, WI 53572. Form received by WI 14 Apr 2025.

shrine_id 1161841 · doc_class PaperCvi